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Cancer, HIV and heart disease are dreadful diseases that aect millions of
people all over the world. They know no poli cal, religious, caste, color, and race
boundaries. They aect people from dierent economic segments and a varied
age group.
Pa ents spend a lot of me at hospitals depending on the severity of their
disease.
The main aim of this thesis is designing an e
The main aim of this thesis is designing an environment targeted at the pa
ents
psychology that helps them feel comfortable and at home and comba ng
debilita ng diseases like cancer, HIV, heart diseases etc.

The Thesis directs at the contribu on of architects in reducing stress in pa ents
and inuence their psychology in a posi ve way and promote healing and
wellness.

It aims at developing a concrete rela onship between built- environments with
the reac ons of pa ents suering from these dreadrful diseases.
The reduc on of stress of these diseases through dierent architectural
treatments and principles is the main goal. The stress has an impact on the recovery of such pa ents.
Pallia ve care and hospice are also an important study aspect making it comfortable for terminal pa ents in their last days.

The treatment of these diseases aects essen ally three groups: The doctors,
pa ents and their loved ones.
The two-pronged study mainly consisted of a Medical Opinion on the topic and
The t
an academic one. There lies a gap between Academic prac ces and its direct
impact on the pa ents, which they may not be aware of which doctors can
bridge.
The aim of this thesis is to provide a clear link between cancer pa ents
psychology and the built environment.

However it must be noted that Human Psychology is a dynamic concept and
has various interpreta on. In a public space such as a hospital there are people
from various backgrounds, ethnicity, opinion, mental state etc. that visit and the
design solu on should be a neutral one, which is prevalently accepted.
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Pallia ve care is a health care specialty that is both a philosophy of care and an
organized, highly structured system for delivering care to persons with life-threatening or debilita ng illness from diagnosis ll death and then into bereavement care
for the family.

Pallia ve care improves health care quality in three domains:
- The relief of physical and emo onal suering.
- Improvement and strengthening of the process of pa entphysician
communica on and decision-making.
- Assurance of coordinated con nuity of care across mul ple healthcare
se ngs hospital, home, hospice, and long-term care.

The WHO dened pallia ve care as an approach that improves the quality of life of
The WHO d
pa ents and their families facing the problems associated with life-threatening
illness, through the preven on and relief of suering by means of early iden ca on
and impeccable assessment and treatment of pain and other problems, physical,
psychosocial, and spiritual.

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Less than 1% of Indias 1.2 billion popula ons have access to pallia ve care.
The eorts by pioneers over the last quarter of a century have resulted in progress,
some of which may hold lessons for the rest of the developing world.
In recent years, a few of the major barriers have begun to be overcome. The south
Indian state of Kerala, which has 3% of Indias popula on, stands out in terms of
achieving coverage of pallia ve care.
The
There 947 Pallia
ve Cares available in India and out which Kerala alone stands out
with 820 Pallia ve Cares in itself whereas the most of the ci es lies way much
behind and lack such an important medical facility.
It is also important in India in order to overcome the social paradox to aliena ng the
pa ent suering from diseases like HIV or cancer which leads to bi er condi on that
a pa ent has to live in while gh ng with his/her dreadful disease.

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Pallia ve care is a comprehensive approach to
improving the quality of life for the people who
are living with serious or poten ally
life-limi ng illnesses.
Pallia ve care programs are made up of
mul disciplinary doctors, nurses, therapists.
disciplina
counselors and social workers. the team works
in collabora on with pa ents en re care team
of physicians and nurses, and with pa ents and
their family to provide medical, emo onal and
social support needed to cope with a burdens
of serious illness.
Since no two pa ents are alike, pallia ve care
Since no t
treatments are tailored to the individual based
on his/her wishes for how they want to be
treated physically, psychologically
and spiritually.

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While pallia ve care is available to any pa ent

with a serious illness, hospice care is a
specialized type of pallia ve care for pa ents
suering from an incurable illness or mul ple
illnesses with a life expectancy of six months
or less.
Hospice care is focused on improving quality of
Hospice
life, maintaining dignity, and making pa ents as
comfortable as possible during the me they
have remaining.

Pa ents entering hospice care understand that
their illness or disease is not responding to
medical treatment. By entering hospice,
medi
a empts to cure the pa ents underlying illness
are stopped. Stopping cura ve treatment does
not mean discon nuing all treatment.

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U arakhanda is one of the 19 states in India that have absolutely no provision for pallia ve care. Although
5,000 new cases of cancer a year are reported in this state, facili es like for cancer, HIV and Heart diseases
are s ll very few.
Es mated Cancer Pa ent Loads in U arakhand by District (Incidence)
District Males Females Total % Rural
Almora 624 658 1,282 91
Chamoli 367 387 754 86
Dehradun 1,269 1,338 2,607 47
Garwhal 690 727 1,417 87
Hardwar 1,432 1,511 2,943 69
Ha
Nainital 755 796 1,551 65
IARCs GLOBOCAN 2002 ASR(W) and 2001 census

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